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IMPORTANT: ln thece Bpacos, copy the correcpondlng lnformatlon from Sectlon A.FOR INSURANCE COMPANY USE <br />Bulldlng Street Address (lncluding Apt., Unil, Sulte, and/or Bldg. No.) or P.O. Route and Box No. <br />3002 Dapple Gray Way <br />Pollcy Number: <br />Clty <br />Ellensburg <br />State <br />Washlngton <br />ZIP Code <br />98926 <br />gompany NAlg Number <br />sEcTroN c - BurLDtNc ELEVATTON TNFORMATTON (SURVEY REQUIREDI <br />C1. Bulldlng elevallons are based on: I Conslrucllon Drawlngs' f] Bulldlng Under Construcllon' El Fhlshed Gonstrucllon <br />'A new Elevatlon Certilicale will be requlred when construclion of lhe buildlng is complete. <br />C2. Elevatlons - Zones Al-A30, AE, AH, A (wllh BFE), VE, V1-V30, V (wllh BFE), AR, AR/A, AR/AE, ARiAI-A30, AR/AH, AR/AO. <br />Complete lloms Cz.a-h below accordlng to tho bulldlng diagram specllied ln lt€m A7. ln Puerto Rico only, enter meters. <br />Benchmark Utillzed; Center of S 27 T 18 N, R 18 E VedlcalDalum: NAVD 1988 <br />lndlcale elevallon datum used for the elevations ln items a) through h) below. <br />fl NGVD 1929 E NAVD 1988 fJ other/Source: <br />DatumusedforbulldlngiGvailonsmustbelhesameaetha <br />Check the moasurement ussd. <br />a) Top of boltom lloor (lncludlng basement, crawlspace, or enclosure floor) <br />b) Top of the next hlgher lloor <br />c) Bottom of lhe lowesl horlzontal slructural member (V Zones only) <br />d) Altached garago (top of slab) <br />e) Lowest elevallon of machlnery or equlpment servlcing the bulldlno <br />(Descrlbe type of equlpment and location ln Commenl.s) <br />f) Lowest adJacent (flnlshed) grade next lo bulldlns (LAG) <br />g) Hlghost adjac€nt (llnlshed) grad6 noxt to bulldlng (HAG) <br />h) Lowest adJacent grade at lowest elevatlon of deck or alalre, lncludlng <br />slruclural support <br />1592.3 fl feel I meters <br />N/A I feel E meters <br />N/A ! feet fl meters <br />1s92,3 @ feat fJ meters <br />N/A I feet I meters <br />1591.6 <br />1592,3 [| feet <br />fl feet <br />[Jfeet <br />I meters <br />fl meters <br />I metersr591.8 <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />Thls cerlllicallon le io bs signed and eealed by a land surveyor, en0lneer. or archltect authorized by law lo certlfu elevatlon lnformallon. <br />I cedffy that lhe lntormallon on.lhls_ Cedllicaki_ reprcsenls my besl elo1ls to lQtarprct lho dala avall-able. I underiland that any talse <br />slatementmaybepunishablabytineorimprtsonmantunderlS U.S.Coda, Secllon1001, <br />WerelatltudeandlongltudelnSectlonAprovldedbyallceneedlandsurveyor?EYeeENotrffi; <br />Cortlllels Nams <br />Rick Sklnnor <br />Llcenso Number <br />43619 <br />Tllle <br />Profeselonal Land Surveyor <br />Gompany Name <br />Weslern Paclllc Englneerlng & Survey, lnc. <br />Address <br />1224 S. Pioneer Way <br />Clty <br />Moses Lake <br />Slate <br />Washlngton <br />ZIP Gode <br />98837 <br />Slgnature Date Telephone <br />(50s) 705-1023 <br />Ext. <br />Copy all pages of this Elevallon Cerlllicate and all attachmenls for (1) community officlal, (2) lnsuranca agenUcompany, and (3) bulldlng owner <br />Commenls (lncludlng type of equlpmenl and locallon, per C2(e), if appllcable) <br />The lop of the slab for the heat pump was measurs by GPS. The heat pump was restlng on legs so lhe helght dlfference bstweon the <br />bottom of heat pump and lhe top of slab was meagured and accounled for ln lhe elevallon, <br />ELEVATION CERTIFICATE OMB No. <br />Explratlon <br />1660.0008 <br />Date: November3O,2022 <br />FEMA Form 086-0-33 (12l1Sl Replaces all prevlous edltlons.Form Page 2 of0